• CDI Reconciliation Specialist

    HCA Healthcare (Nashville, TN)
    …high priority retrospective reviews of the complete medical record and the coding summary of assigned population. + Analyzes documented and clinically supported ... record technologies to ensure complete documentation. + Performs independent coding of the record to assure that the HIM...degree required + 5+ years of experience in acute inpatient CDI or equivalent combination of education and/or experience… more
    HCA Healthcare (09/30/25)
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  • Trauma Data Abstractor

    HCA Healthcare (Nashville, TN)
    …to procedures, comorbidities and complications according to established methodology and coding rules. The Trauma Registrar reports complications and quality issues ... determine inclusion criteria and identify trauma cases. 4. Reviews and ensures coding accuracy of ICD-10/CM for all diagnoses, procedures, and operations. 5.… more
    HCA Healthcare (09/06/25)
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  • Medical Director-Payment Integrity

    Humana (Nashville, TN)
    …level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is ... of decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. A remote possibility exists of doing… more
    Humana (09/26/25)
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  • Medical Records Technician

    Ansible Government Solutions (Memphis, TN)
    …analyze health records to identify documentation improvement opportunities in both inpatient and outpatient settings + Generate and communicate queries to healthcare ... clinical documentation + Develop the facility's CDI management program encompassing both inpatient and outpatient billable and non-billable services + Focus on … more
    Ansible Government Solutions (08/08/25)
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  • Sys Dir Onc Pharm Svcs

    Covenant Health Inc. (Knoxville, TN)
    …patient and staff education; implementing quality initiatives; and coordinating inpatient oncology pharmacy services. Responsible for all clinical pharmacy ... activities within oncology inpatient and outpatient settings, including all satellite locations of...+ Evaluates the appropriateness of drug utilization (charging and coding ). + Ensures oncology clinical pharmacy activities are conducted… more
    Covenant Health Inc. (09/05/25)
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  • CDQI Nurse Specialist - Part Time - Remote

    Datavant (Nashville, TN)
    …+ Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. + Collaborate with ... secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the...throughout a patient's stay. + Follow AHA guidelines and coding clinics for accurate coding and required… more
    Datavant (09/04/25)
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  • Medical Director

    HCA Healthcare (Nashville, TN)
    …team member of the denial management team. + Educates physicians about ICD coding guidelines (eg, co-morbid conditions, outpatient vs. inpatient ) and clinical ... peer to peers with health plan counterpart for denied inpatient cases. + Acts as a liaison with payers...peer to peers with health plan counterpart for denied inpatient cases. + Responsible for ensuring that no activities… more
    HCA Healthcare (09/27/25)
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  • Medical Director - Southeast Region

    Humana (Nashville, TN)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (09/10/25)
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  • CDI Reconciliation Manager

    HCA Healthcare (Nashville, TN)
    …all CDI functions, the Manager will: + Assure compliance with Official Coding Guidelines, Regulatory Compliance Guidelines and CDI policies + Manage day-to-day CDI ... Experience: + Bachelor's degree required + 5+ years of experience in inpatient CDI required or equivalent combination of education and/or experience Licenses,… more
    HCA Healthcare (09/28/25)
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  • Referral Coordinator

    ChenMed (Memphis, TN)
    …physicians/clinicians needs or outstanding items regarding to patients. + Enters all Inpatient and Outpatient elective procedures in HITS tool. + Ensures patient's ... + Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + Detail-oriented with the ability to multi-task....+ Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + An understanding of the company's patient… more
    ChenMed (09/23/25)
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